Manejo endovascular de las complicaciones agudas de la disección aórtica tipo B

Background: Type B aortic dissection is usually managed by intensive care medical therapy and surgery is reserved for treating the complications that can occur during the evolution of a case. Aim: To assess the endovascular management of acute complications of type B aortic dissection and the closur...

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Autores principales:	IBÁÑEZ C,FERNANDO, BIANCHI S,VÍCTOR, SEITZ C,JUAN, PARRA G,JUAN, SALAS DEL C,CRISTIÁN, ARRIAGADA R,ALFREDO, CORVALÁN Z,FELIPE, BASTÍAS F,WALDO, PIZARRO M,ISMAEL, CAM L,ALFREDO, JULIO A,RODRIGO, HERRERA N,JUAN
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2010
Materias:	Aortic diseases Aortic dissection Stents
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000700005
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spelling	oai:scielo:S0034-988720100007000052010-11-26Manejo endovascular de las complicaciones agudas de la disección aórtica tipo BIBÁÑEZ C,FERNANDOBIANCHI S,VÍCTORSEITZ C,JUANPARRA G,JUANSALAS DEL C,CRISTIÁNARRIAGADA R,ALFREDOCORVALÁN Z,FELIPEBASTÍAS F,WALDOPIZARRO M,ISMAELCAM L,ALFREDOJULIO A,RODRIGOHERRERA N,JUAN Aortic diseases Aortic dissection Stents Background: Type B aortic dissection is usually managed by intensive care medical therapy and surgery is reserved for treating the complications that can occur during the evolution of a case. Aim: To assess the endovascular management of acute complications of type B aortic dissection and the closure of the intimal defect and aortic false lumen. Material and Methods: Retrospective analysis of 8 consecutive patients aged 40 to 57 years (seven males) treated for acute complications in the initial episode of a type B aortic dissection between August 2006 and July 2008. Results: Six/eight were known hypertensive patients. The indications for surgery were intractable pain in one, hypertension refractory to treatment in two and distal hypoperfusion in fve. Five patients required covering of the left subclavian artery ostium, without need for surgical repair. One patient was subjected to renal angioplasty and stenting. Technical success was achieved in all cases, with complete closure of the proximal aortic tear and thoracic aortic false lumen, although 7 of patients had a persistent distal aortic false lumen. One case had a transient lower limb paraparesis. No patient died. Conclusions: Endovascular treatment is effective in closing the aortic tear as well as the thoracic aortic false lumen in aortic type B dissections with a low complication rate. Due to the high frequency of distal aortic false lumen persistence, it is not a defnitive treatment for this condition but it is useful for the acute complications of the initial phase of type B aortic dissection.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.138 n.7 20102010-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000700005es10.4067/S0034-98872010000700005
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aortic diseases Aortic dissection Stents
spellingShingle	Aortic diseases Aortic dissection Stents IBÁÑEZ C,FERNANDO BIANCHI S,VÍCTOR SEITZ C,JUAN PARRA G,JUAN SALAS DEL C,CRISTIÁN ARRIAGADA R,ALFREDO CORVALÁN Z,FELIPE BASTÍAS F,WALDO PIZARRO M,ISMAEL CAM L,ALFREDO JULIO A,RODRIGO HERRERA N,JUAN Manejo endovascular de las complicaciones agudas de la disección aórtica tipo B
description	Background: Type B aortic dissection is usually managed by intensive care medical therapy and surgery is reserved for treating the complications that can occur during the evolution of a case. Aim: To assess the endovascular management of acute complications of type B aortic dissection and the closure of the intimal defect and aortic false lumen. Material and Methods: Retrospective analysis of 8 consecutive patients aged 40 to 57 years (seven males) treated for acute complications in the initial episode of a type B aortic dissection between August 2006 and July 2008. Results: Six/eight were known hypertensive patients. The indications for surgery were intractable pain in one, hypertension refractory to treatment in two and distal hypoperfusion in fve. Five patients required covering of the left subclavian artery ostium, without need for surgical repair. One patient was subjected to renal angioplasty and stenting. Technical success was achieved in all cases, with complete closure of the proximal aortic tear and thoracic aortic false lumen, although 7 of patients had a persistent distal aortic false lumen. One case had a transient lower limb paraparesis. No patient died. Conclusions: Endovascular treatment is effective in closing the aortic tear as well as the thoracic aortic false lumen in aortic type B dissections with a low complication rate. Due to the high frequency of distal aortic false lumen persistence, it is not a defnitive treatment for this condition but it is useful for the acute complications of the initial phase of type B aortic dissection.
author	IBÁÑEZ C,FERNANDO BIANCHI S,VÍCTOR SEITZ C,JUAN PARRA G,JUAN SALAS DEL C,CRISTIÁN ARRIAGADA R,ALFREDO CORVALÁN Z,FELIPE BASTÍAS F,WALDO PIZARRO M,ISMAEL CAM L,ALFREDO JULIO A,RODRIGO HERRERA N,JUAN
author_facet	IBÁÑEZ C,FERNANDO BIANCHI S,VÍCTOR SEITZ C,JUAN PARRA G,JUAN SALAS DEL C,CRISTIÁN ARRIAGADA R,ALFREDO CORVALÁN Z,FELIPE BASTÍAS F,WALDO PIZARRO M,ISMAEL CAM L,ALFREDO JULIO A,RODRIGO HERRERA N,JUAN
author_sort	IBÁÑEZ C,FERNANDO
title	Manejo endovascular de las complicaciones agudas de la disección aórtica tipo B
title_short	Manejo endovascular de las complicaciones agudas de la disección aórtica tipo B
title_full	Manejo endovascular de las complicaciones agudas de la disección aórtica tipo B
title_fullStr	Manejo endovascular de las complicaciones agudas de la disección aórtica tipo B
title_full_unstemmed	Manejo endovascular de las complicaciones agudas de la disección aórtica tipo B
title_sort	manejo endovascular de las complicaciones agudas de la disección aórtica tipo b
publisher	Sociedad Médica de Santiago
publishDate	2010
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000700005
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Manejo endovascular de las complicaciones agudas de la disección aórtica tipo B

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